Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $2,884.03 / $7,762.47	Facility		$954.99	$2,884.03	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $616.60 / $1,318.26	Professional		$489.78	$616.60	$1,318.26
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,309.57 / $10,471.29 / $13,803.84	Facility		$6,309.57	$10,471.29	$13,803.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $977.24 / $1,202.26	Professional		$630.96	$977.24	$1,202.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,760.83 / $6,760.83 / $6,760.83	Facility		$6,760.83	$6,760.83	$6,760.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $812.83 / $1,202.26	Professional		$549.54	$812.83	$1,202.26
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $1,000.00 / $2,570.40	Professional		$630.96	$1,000.00	$2,570.40
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $741.31 / $831.76	Professional		$691.83	$741.31	$831.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $630.96	Professional		$32.36	$33.11	$630.96
United Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $6,309.57 / $16,982.44	Facility		$2,570.40	$6,309.57	$16,982.44
United Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $691.83 / $1,202.26	Professional		$524.81	$691.83	$1,202.26